Everyone knows donuts are not good for diabetes. But I’m not talking about Entenmann’s, or even Krispy Kreme (the only donut known to tempt me — when they’re hot out of the frier, they can be geniunely delicious). I’m talking about a pump donut — the inflamed, liquid-filled lifesaver of skin that I sometimes find when I remove my Minimed Quick-set infusion set. Has anyone else experienced this? I’ll take a photo the next time it happens — but basically, it’s as if instead of absorbing into my body, the insulin (and a bit of blood and general interstitial fluid) got caught right underneath my skin, puffing up into a taut, occasionally blistered-looking donut right around where the cannula entered my skin. (I’m always tempted to pop them with a needle — an approach which I do not recommend to others.)
These donuts are not delicious. They are, instead, disgusting — and they have bad effects on your blood sugar. Two nights ago, for example, my blood sugar went high after I had sushi for lunch and refused to come down. I went to bed higher than I’d like but took a correction bolus, figuring that I’d drop back to normal as I slept — which is what normally happens. When I woke up at 4, my blood sugar was still around 180. I took another correction. Woke up again at nine. Still high. It was only when I removed the infusion set that I noticed the cause of the problem: the dreaded donut. (One of the issues with the Quick-set is that you often can’t determine if there’s a problem with the infusion site unless you take off the set entirely.)
I know what you’re thinking: switch to the Silhouette. But I’ve tried that, and I find that it causes infections more often than the Quick-set. My endocrinologist has suggested experimenting with other types of infusion sets, but I’ll be honest: I’ve got a bunch of Quick-sets in my closet that I’d hate to waste. And also, after a while, constantly dealing with diabetes malfunctions makes me a bit lazy — or at least overwhelmed. With that said, if anyone’s found a great product they’d recommend, do tell.
In other news, I’m about to have dinner at a raw food restaurant (and thus thrust myself into the controversy on whether raw food is easier for people with diabetes to manage). No word on that yet, but I can tell you one thing that definitely has a bad effect on diabetes: not taking insulin. This morning my blood sugar went up to 240 after breakfast and I couldn’t figure out why — since when is cottage cheese a danger food? And then I looked at my pump history and noticed that, despite the fact that I remember programming in a dual wave bolus after I ate, apparently it never went through. I took a correction bolus and am happy to report that things are now back to normal. But still, not the best way to start the day.